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COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 401k Plan overview

Plan NameCOMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN
Plan identification number 504

COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

FOOD MANAGEMENT INVESTORS, INC. DBA CULTIVATE SOLUTIONS has sponsored the creation of one or more 401k plans.

Company Name:FOOD MANAGEMENT INVESTORS, INC. DBA CULTIVATE SOLUTIONS
Employer identification number (EIN):450417148
NAIC Classification:541600

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042022-08-01TADD DEMARS2024-02-06
5042021-08-01TADD DEMARS2023-02-17
5042020-08-01TADD DEMARS2022-02-25
5042019-08-01TADD DEMARS2021-04-26
5042018-08-01TADD DEMARS2020-03-17
5042017-08-01
5042016-08-01
5042015-08-01
5042014-08-01
5042013-08-01
5042012-08-01ROBERT LAMONT
5042011-08-01ROBERT LAMONT
5042010-08-01ROBERT LAMONT

Plan Statistics for COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN

401k plan membership statisitcs for COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN

Measure Date Value
2022: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2022 401k membership
Total participants, beginning-of-year2022-08-01150
Total number of active participants reported on line 7a of the Form 55002022-08-01153
Number of retired or separated participants receiving benefits2022-08-011
Total of all active and inactive participants2022-08-01154
Number of employers contributing to the scheme2022-08-018
2021: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-08-01123
Total number of active participants reported on line 7a of the Form 55002021-08-01150
Number of retired or separated participants receiving benefits2021-08-012
Total of all active and inactive participants2021-08-01152
Number of employers contributing to the scheme2021-08-017
2020: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-08-01139
Total number of active participants reported on line 7a of the Form 55002020-08-01123
Number of retired or separated participants receiving benefits2020-08-011
Total of all active and inactive participants2020-08-01124
Number of employers contributing to the scheme2020-08-015
2019: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-08-01110
Total number of active participants reported on line 7a of the Form 55002019-08-01139
Total of all active and inactive participants2019-08-01139
Number of employers contributing to the scheme2019-08-015
2018: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-08-01104
Total number of active participants reported on line 7a of the Form 55002018-08-01108
Number of retired or separated participants receiving benefits2018-08-012
Total of all active and inactive participants2018-08-01110
Number of employers contributing to the scheme2018-08-015
2017: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-01101
Total number of active participants reported on line 7a of the Form 55002017-08-01104
Total of all active and inactive participants2017-08-01104
Number of employers contributing to the scheme2017-08-014
2016: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-01103
Total number of active participants reported on line 7a of the Form 55002016-08-01100
Number of retired or separated participants receiving benefits2016-08-011
Total of all active and inactive participants2016-08-01101
Number of employers contributing to the scheme2016-08-014
2015: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-08-01114
Total number of active participants reported on line 7a of the Form 55002015-08-01101
Number of retired or separated participants receiving benefits2015-08-012
Total of all active and inactive participants2015-08-01103
Number of employers contributing to the scheme2015-08-014
2014: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-08-01109
Total number of active participants reported on line 7a of the Form 55002014-08-01114
Total of all active and inactive participants2014-08-01114
Number of employers contributing to the scheme2014-08-018
2013: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-08-01107
Total number of active participants reported on line 7a of the Form 55002013-08-01109
Total of all active and inactive participants2013-08-01109
Number of employers contributing to the scheme2013-08-018
2012: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-08-01124
Total number of active participants reported on line 7a of the Form 55002012-08-01107
Total of all active and inactive participants2012-08-01107
Number of employers contributing to the scheme2012-08-018
2011: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-08-01127
Total number of active participants reported on line 7a of the Form 55002011-08-01124
Total of all active and inactive participants2011-08-01124
Number of employers contributing to the scheme2011-08-018
2010: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2010 401k membership
Total participants, beginning-of-year2010-08-01127
Total number of active participants reported on line 7a of the Form 55002010-08-01117
Total of all active and inactive participants2010-08-01117
Number of employers contributing to the scheme2010-08-018

Form 5500 Responses for COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN

2022: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2022 form 5500 responses
2022-08-01Type of plan entityMulti-employer plan
2022-08-01Plan is a collectively bargained planYes
2022-08-01Plan funding arrangement – InsuranceYes
2022-08-01Plan benefit arrangement – InsuranceYes
2021: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2021 form 5500 responses
2021-08-01Type of plan entityMulti-employer plan
2021-08-01Plan is a collectively bargained planYes
2021-08-01Plan funding arrangement – InsuranceYes
2021-08-01Plan benefit arrangement – InsuranceYes
2020: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2020 form 5500 responses
2020-08-01Type of plan entityMulti-employer plan
2020-08-01Plan is a collectively bargained planYes
2020-08-01Plan funding arrangement – InsuranceYes
2020-08-01Plan benefit arrangement – InsuranceYes
2019: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2019 form 5500 responses
2019-08-01Type of plan entityMulti-employer plan
2019-08-01Plan is a collectively bargained planYes
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan benefit arrangement – InsuranceYes
2018: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2018 form 5500 responses
2018-08-01Type of plan entityMulti-employer plan
2018-08-01Plan is a collectively bargained planYes
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – InsuranceYes
2017: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2017 form 5500 responses
2017-08-01Type of plan entityMulti-employer plan
2017-08-01Plan is a collectively bargained planYes
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2016: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2016 form 5500 responses
2016-08-01Type of plan entityMulti-employer plan
2016-08-01Plan is a collectively bargained planYes
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes
2015: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2015 form 5500 responses
2015-08-01Type of plan entityMulti-employer plan
2015-08-01Plan is a collectively bargained planYes
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – InsuranceYes
2014: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2014 form 5500 responses
2014-08-01Type of plan entityMulti-employer plan
2014-08-01Plan is a collectively bargained planYes
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – InsuranceYes
2013: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2013 form 5500 responses
2013-08-01Type of plan entityMulti-employer plan
2013-08-01Plan is a collectively bargained planYes
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan benefit arrangement – InsuranceYes
2012: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2012 form 5500 responses
2012-08-01Type of plan entityMulti-employer plan
2012-08-01Plan is a collectively bargained planYes
2012-08-01Plan funding arrangement – InsuranceYes
2012-08-01Plan benefit arrangement – InsuranceYes
2011: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2011 form 5500 responses
2011-08-01Type of plan entityMulti-employer plan
2011-08-01Plan is a collectively bargained planYes
2011-08-01Plan funding arrangement – InsuranceYes
2011-08-01Plan benefit arrangement – InsuranceYes
2010: COMPANION LIFE INS CO GROUP DENTAL INDEMNITY PLAN 2010 form 5500 responses
2010-08-01Type of plan entityMulti-employer plan
2010-08-01First time form 5500 has been submittedYes
2010-08-01Plan is a collectively bargained planYes
2010-08-01Plan funding arrangement – InsuranceYes
2010-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )
Policy contract number472064
Policy instance 1
Insurance contract or identification number472064
Number of Individuals Covered153
Insurance policy start date2022-08-01
Insurance policy end date2023-08-01
Total amount of commissions paid to insurance brokerUSD $11,092
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $110,994
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,092
Insurance broker organization code?3
STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )
Policy contract number472064
Policy instance 1
Insurance contract or identification number472064
Number of Individuals Covered143
Insurance policy start date2021-08-01
Insurance policy end date2022-08-01
Total amount of commissions paid to insurance brokerUSD $10,150
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $100,695
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,150
Insurance broker organization code?3
STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )
Policy contract number472064
Policy instance 1
Insurance contract or identification number472064
Number of Individuals Covered120
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $8,654
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $86,642
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,654
Insurance broker organization code?3
STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )
Policy contract number472064
Policy instance 1
Insurance contract or identification number472064
Number of Individuals Covered139
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $21,930
Total amount of fees paid to insurance companyUSD $1,917
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $86,566
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $761
Insurance broker organization code?3
Amount paid for insurance broker fees1917
STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )
Policy contract number472064
Policy instance 1
Insurance contract or identification number472064
Number of Individuals Covered110
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,166
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $67,381
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1166
Insurance broker organization code?3
STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )
Policy contract number472064
Policy instance 1
Insurance contract or identification number472064
Number of Individuals Covered104
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,266
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $65,316
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberNDTV504541
Policy instance 1
Insurance contract or identification numberNDTV504541
Number of Individuals Covered208
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
Total amount of commissions paid to insurance brokerUSD $10,428
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $68,726
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,952
Insurance broker nameTHOMAS W MAYER
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberNDTV504541
Policy instance 1
Insurance contract or identification numberNDTV504541
Number of Individuals Covered114
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $11,527
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $78,714
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,685
Insurance broker nameTHOMAS W MAYER- DIRECT BENEFITS INC
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberNDTV504541
Policy instance 1
Insurance contract or identification numberNDTV504541
Number of Individuals Covered109
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $11,160
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $75,224
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,438
Insurance broker nameDIRECT BENEFITS INC
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberNDTV504541
Policy instance 1
Insurance contract or identification numberNDTV504541
Number of Individuals Covered107
Insurance policy start date2012-08-01
Insurance policy end date2013-07-31
Total amount of commissions paid to insurance brokerUSD $11,056
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $73,984
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,368
Insurance broker nameDIRECT BENEFITS INC
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberNDTV504541
Policy instance 1
Insurance contract or identification numberNDTV504541
Number of Individuals Covered124
Insurance policy start date2011-08-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $10,700
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $71,663
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberNDTV504541
Policy instance 1
Insurance contract or identification numberNDTV504541
Number of Individuals Covered124
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
Total amount of commissions paid to insurance brokerUSD $9,023
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $65,823
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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